Organization Active NPI

Select Family Home Care, Inc.

  • Home Health Agency
  • Baxter, MN
National Provider Identifier
1972101772
Registry record updated Jan 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SELECT FAMILY HOME CARE, INC.
Practice address
14884 Kirkwood Dr
Baxter, MN 56425-8451
Phone
(218) 961-2273
Fax
(855) 509-0409
NPI assigned
Oct 14, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Trevor Harting
Title
Owner
Phone
(218) 824-5027

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

14884 Kirkwood Dr
Baxter, MN 56425-8451

Mailing address

14884 Kirkwood Dr
Baxter, MN 56425-8451
Phone (218) 961-2273

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1602633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611187200000",
    "number": "1972101772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14884 KIRKWOOD DR",
            "city": "BAXTER",
            "state": "MN",
            "postal_code": "564258451",
            "telephone_number": "218-961-2273",
            "fax_number": "855-509-0409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14884 KIRKWOOD DR",
            "city": "BAXTER",
            "state": "MN",
            "postal_code": "564258451",
            "telephone_number": "218-961-2273",
            "fax_number": "855-509-0409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELECT FAMILY HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-14",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A",
        "authorized_official_last_name": "HARTING",
        "authorized_official_first_name": "TREVOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-824-5027"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baxter, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.